Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $100.00	Professional		$70.79	$100.00	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $117.49	Facility		$91.20	$91.20	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $158.49	Professional		$77.62	$91.20	$158.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $97.72 / $97.72	Professional		$91.20	$97.72	$97.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $100.00 / $162.18	Facility		$56.23	$100.00	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $56.23 / $100.00	Facility		$7.08	$56.23	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $81.28 / $125.89	Professional		$56.23	$81.28	$125.89
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $645.65 / $645.65	Facility		$208.93	$645.65	$645.65